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UNDERGROUr,TANK PROGRAM OFF ICIAL INSP` 171ON REPORT <br /> SAN JOAQUIN HEALT q DISTRICT . <br /> 1601 E. HAZELTON WE. <br /> COUNTY NAME � � STOCKTON, CA 95205 COUNTY # <br /> Iti PHONE NO. 468-3 23 <br /> SITE NAME: Old r � � � # INSPECTION DATE: <br /> SITE ADDRESS: 60 <br /> tPNU Sf- CITY/STATE/ZIP r ,9N CA <br /> CHANGES SITE/OWNER/PERMIT? YE NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> Irttik, Rfol is !A rl s__ PER# PER # PER# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK MAJOR I MANOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 - <br /> MONITORING SYSTEM 11 12 - <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 � � <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SANrOLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD <br /> CONDITIONS ABATED <br /> �: <br /> TEMPORARY TANKNRAWN�,, <br /> 'S e: <br /> CLOSURE °` � �, :. v b � - <br /> ..e::°sc, ..n^z,. :.;r. F .: r`�' ..'rA 1`�i '=;°rti`a,<a' ^, 'v4z.... ,'.;. . .R� *° ° s.. -P°•.''':-':-: <br /> IN <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45101 <br /> PERMANENT TANK CLOSUREW. <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 _ _�- <br /> 5IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS R PRESENT VIOLATIONS AND <br /> MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: Q675f N d 'Yls1(J� �T D OOD tesq t t�+� <br /> 57 58 59 g ovo <br /> MAJOR MINOR NO �C`)o�Rr 1�-CtCGt E1 . '� � �invc �1t3N a�'35trpt <br /> VIOL. ❑ VIOL. ❑ VIOL❑ – - —_ ._ __.a_.._ <br /> OFFICE: INSPC RECEIVED BY: <br /> TITLE: r f � PHONE: BECK: <br /> HUT-3 FILE COPY 5/88 ON ,'' <br />